Claims Administrator

The Minnesota Department of Employment and Economic Development (DEED) is the State of Minnesota's principal economic development agency. DEED’s mission is simple: to empower the growth of the Minnesota economy, for everyone. We are driven to find talented and innovative public servants, motivated by the opportunity to serve businesses, people, and the greater good. At DEED you will join a diverse team, inspired by challenging work and united by shared values that guide our work every day. At DEED we live our values by; focusing on the customer, communicating early and often, seeking solutions, creating inclusion, encouraging new ideas, and being gracious. DEED is a Beyond the Yellow Ribbon agency and committed to proactively supporting service-members, veterans, and military families. DEED offers great employment opportunities with a meaningful mission to truly make a difference in the lives of those under our care and for those in communities throughout Minnesota. Working Title: Claims Adjudicator Job Class: State Program Administrator, Intermediate Agency: Department of Employment and Economic Development Job ID : 95221 Location : St. Paul Telework Eligible : Yes, may be eligible for some telework Full/Part Time : Full-Time Regular/Temporary : Limited Who May Apply : Open to all qualified job seekers Date Posted : 07/02/2026 Closing Date : 07/15/2026 Hiring Agency/Seniority Unit : Department of Employment and Economic Development / MAPE Division/Unit : Paid Family and Medical Leave Work Shift/Work Hours : Day Shift, 8:00AM to 4:30PM Days of Work : Monday - Friday Travel Required : No Salary Range: $25.67 - $37.26 / hourly; $53,598 - $77,798 / annually Classified Status : Unclassified Bargaining Unit/Union : 214 - Minnesota Association of Professional Employees/MAPE The work you'll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. Job Summary About the Paid Leave Division: Paid Leave is a new program that launched January 1, 2026. The program provides partial wage replacement to Minnesota workers that are out of work due to a qualifying condition such as a serious health condition that prevents you from working, or when you need time to care for a family member or a new child. We have built a program that is easy for every Minnesotan to use. We are engaging the people who depend on us: workers, employers, caregivers, and insurers, to learn from them and continue to improve the program around what they need. We are using modern delivery service and product practices to deliver the program. The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working. Our aim is to deliver a service that delights Minnesotans. The Claims Adjudicator performs front-line, specialized program support work for the Paid Leave division. Under general supervision, the Claims Adjudicator provides effective and efficient review and processing of claims and direct support to applicants by offering guidance and maintaining clear communication throughout the claims process. The Claims Adjudicator is responsible for carrying out program activities to ensure eligibility requirements are met, documentation is provided as required and to ensure compliance with program guidelines. Key Responsibilities: Provide effective and efficient review and processing of claims for the Paid Leave program: Consistently meet accuracy and quality standards, service level agreements and ensure that compliance with program guidelines is always maintained. Case Management: Monitor, document, and follow-up on assigned claims. Partner with internal teams as needed to ensure program guidelines and Service Level Agreements (SLAs) are met. Cross-functional Program Support: During program implementation, the Adjudicator may need to participate in supporting program needs. This could involve but is not limited to user acceptance testing (UAT), assisting the Contact Center by taking phone calls during periods of high call volume, and other duties as assigned. This position will be based out of the St. Paul office. This position is telework eligible. Staff are provided with the tools and equipment to be successful in a virtual work environment. Please note, the telework policy could change with notice based on business needs. This posting may be used to fill multiple positions. This is a temporary unclassified appointment anticipated to last up to one (1) year. Qualifications Minimum Qualifications Please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held. Only applicants whose resumes clearly demonstrate fulfillment of each of these minimum qualifications will be considered for this position. One (1) year* of experience in claims, appeals, case management operations, or contact center support for an eligibility or claims-based program. *Associate's degree in Business Administration, Public Administration, Community Development, Economics, Human Resources, or other closely related field as determined by the agency may substitute six (6) months of experience; bachelor's degree substitutes for one (1) year of experience; master's degree substitutes for eighteen (18) months of experience. Applicants that meet the above minimum qualification will be further evaluated on the following: Experience entering, reviewing and updating information in digital systems. Knowledge of effective communication and support practices for engaging external service users in high-volume environments. Ability to research, interpret, and clearly communicate program requirements and policies. Ability to identify issues in applications and find solutions, i.e. requesting additional documentation or clarification. Ability to manage a high workload, prioritize tasks and meet deadlines and quality expectations. Ability to adapt effectively to new technologies, procedures, or policy changes. Preferred Qualifications Knowledge of standard operating procedures for reviewing and processing claims. Knowledge of data protection laws (e.g. HIPAA) and the handling of sensitive applicant information. Knowledge of state and federal regulations regarding family and medical leave. Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experience working effectively with others from different backgrounds and cultures. Employment Records Check (current and former State employees only) Employment Reference Check Conflict of Interest Review Driver’s License and Records Check The Minnesota Department of Employment and Economic Development will not sponsor applicants for work visas. All applicants must be legally authorized to work in the U.S. Recently Separated Veterans (RSV) : Effective July 1, 2009, legislation provides that the top five RSV applicants who apply and meet the qualifications for a vacancy shall be granted an interview. Certain Disabled Veterans : Effective August 1, 2012, legislation provides state agencies with the option to appoint certain disabled veterans on a non-competitive basis. See the above links for criteria and eligibility. Your benefits may include: Paid vacation and sick leave 12 paid holidays each year Low-cost medical, dental, vision, and prescription drug plans Fertility care, including IVF Diabetes care Dental and orthodontic care for adults and children 6 weeks paid leave for parents of newborn or newly adopted children Pension plan that provides income when you retire (after working at least three years) Employer paid life insurance to provide support for your family in the event of death Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury Tax-free expense accounts for health, dental, and dependent care Resources that provide support and promote physical, emotional, social, and financial well‑being Support to help you reach your career goals: Training, classes, and professional development Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov ) Employee Assistance Program (EAP) for work/life support: A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well‑being, or job performance Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota. EQUAL OPPORTUNITY EMPLOYERS Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law. APPLICANTS WITH DISABILITIES Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at View phone number on click.appcast.io or email View email address on click.appcast.io and let us know the support you need. The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at View email address on click.appcast.io . Please indicate what assistance is needed. #J-18808-Ljbffr